Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

East Towne Dental Associated Belgium Family Dental SC

Organization Dentist · NPI 1356489603

East Towne Dental Associated Belgium Family Dental SC provides Dentist services in Mequon, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
Specialties on file
3

Practice location Address checks out

11501 N Prot Washington Rd
Mequon, WI 53092
Phone: (262) 241-8880
Fax: (262) 241-5250
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 5993 (WI)
Dentist Taxonomy 122300000X · Licence 5301 (WI)
Dentist Taxonomy 122300000X · Licence 5304 (WI)

Record details

NPI number1356489603
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vali Kiaie — President · (262) 241-8880
NPI enumeratedFebruary 1, 2007
Last updated in NPPESAugust 22, 2020
Mailing address11501 N Prot Washington Rd, Mequon, WI 53092

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